Described is a former Japanese prisoner of war who presented with non‐insulindependent diabetes mellitus and obesity. Dietary inquiries revealed a history of starvation, torture, and stress‐related eating present since repatriation. Dietary therapy of his diabetes required modification of his stress‐related episodic eating to achieve weight reduction. In such patients eliciting a history of starvation or torture may be essential in order to deliver adequate and compassionate dietary treatment of the diabetes.